Healthcare Provider Details

I. General information

NPI: 1821566746
Provider Name (Legal Business Name): LAURA TOKHVRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2018
Last Update Date: 07/04/2022
Certification Date: 06/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 S 333RD ST STE 130
FEDERAL WAY WA
98003-7357
US

IV. Provider business mailing address

723 A ST NE APT B
AUBURN WA
98002-4026
US

V. Phone/Fax

Practice location:
  • Phone: 253-766-5156
  • Fax:
Mailing address:
  • Phone: 253-332-8812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: